Jaw tumor in primary hyperparathyroidism is not always a brown tumor.

Clin Cases Miner Bone Metab

Department of Endocrinology and Diabetology, Mohammed VI University Medical Hospital of Marrakech, Medecine School of Marrakech, University Caddi Ayyad of Marrakech, Morocco.

Published: June 2016

AI Article Synopsis

  • Primary hyperparathyroidism (PHPT) is an endocrine disease characterized by excessive secretion of parathyroid hormone (PTH), leading to elevated serum calcium levels and severe bone conditions like osteitis fibrosa cystica.
  • The condition causes increased bone turnover, resulting in osteoclastomas or "brown tumors," which are benign bone lesions.
  • A rare form of PHPT, known as hyperparathyroidism-jaw tumor (HPT-JT) syndrome, can have malignant parathyroid tumors and is associated with fibrous jaw tumors and nonendocrine cancers.

Article Abstract

Primary hyperparthyrodism (PHPT) is a common endocrine disease. It results from an inappropriate parathyroid hormone (PTH) secretion relative to serum ionized calcium level. Clinical manifestation of severe PHPT include bone disease called osteitis fibrosa cystica which reflects an increase osteoclastic resorption and osteoblastic activity. This high bone turnover is responsible of the occurrence of osteoclastomas, also named "brown tumors" (1). Rarely, PHPT may occur in inherited forms with association to fibrous jaw tumor that are unrelated to hyperparathyroidism. In this uncommon disease: hyperparathyroidism-jaw tumor (HPT-JT) syndrome, parathyroid tumor is frequently malignant and usually associated with nonendocrine malignancies (2). We report a case of a HPT-JT syndrome to focus on the differential diagnosis with brown tumors.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869961PMC
http://dx.doi.org/10.11138/ccmbm/2016.13.1.064DOI Listing

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